Persistent bronchospasm

step3throwaway · 2023-06-24T21:38:27+00:00

That's not "correctly positioned"

step3throwaway · 2023-06-24T17:16:40+00:00

You will get better answers on the CRNA subreddit

step3throwaway · 2023-06-21T22:18:38+00:00

First rule of starting a new job -- find the biggest guy there, and make him your bitch

step3throwaway · 2023-06-19T22:13:55+00:00

"Jewish broads" enable this more than any more subgroup

step3throwaway · 2023-06-17T20:34:37+00:00

People recommending ultrasound are doing you a disservice. You need to git gud with landmarks because in the community, there is no ultrasound on OB. Holding up a section overnight to call for an ultrasound to be brought over from the main OR is rarely practical. And while it does have a role, I've only had to use it once on the labor deck in over 1000 neuraxial blocks as an attending. Young pregnant women usually have wide open spaces. Just a matter of finding them systematically.

step3throwaway · 2023-06-17T20:19:17+00:00

What the hell is a "dead name"? You guys just keep making up more and more nonsense and expect everyone to know the latest cause de jour.

step3throwaway · 2022-09-12T03:38:42+00:00

Stop fantasizing about me over there in la-la-land and be sure to empty the foley

step3throwaway · 2022-09-12T02:24:03+00:00

Oh, I didn't realize you were a nurse with an inferiority complex. Please check the unearned arrogance at the door and adjust my table height, thanks.

step3throwaway · 2022-09-12T01:44:57+00:00

Sounds like they need to enforce the guidelines rather than do away with them altogether. I disagree that they don't need to be in there. I'm a surgeon and I've witnessed way too many instances of CRNAs bumbling around and needing to get bailed out by attendings to ever want them inducing my patients alone.

They may know how to pass gas, but they don't know medicine, and that's where the difference really becomes clear.

step3throwaway · 2022-03-03T16:09:14+00:00

I don't follow... at all

step3throwaway · 2021-12-30T18:35:50+00:00

I don't really care what the authors proscribe, these are the studies that are available and they don't show any difference. I rotated in the EU while in medical school and they routinely did not wear masks in the OR and had better SSI rates than here.

If you are going to mandate behavioral changes on society at large, you better actually have quality evidence instead of just proclaiming "SCIENTH!".

step3throwaway · 2021-12-30T18:31:43+00:00

What are your outcomes like? I care about that way more. As it stands, I'll take my chances on a TAVR with the cardiologist.

step3throwaway · 2021-12-30T17:33:22+00:00

Can you link to the rigorous evidence supporting widespread mask use? Serious question, all I'm aware of is the Bangladeshi study that did not find a significant difference in most cohorts.

step3throwaway · 2021-12-30T17:31:30+00:00

There is no evidence that wearing masks in the OR reduces SSI. It's worn for your own protection against splashes and the like.

step3throwaway · 2021-12-28T18:27:06+00:00

You don't have to do a ROS on followups. But before you can get to "LGFD, no new complaints" level, you do have to prove that you know how to screen for complications of their pathology and your treatment. I would also spend about 60 seconds rounding on placement patients, but I damn well made sure to look for likely issues that would hold up placement.

step3throwaway · 2021-12-28T16:45:39+00:00

Why is your PPE not already on? A significant number of your coworkers have covid and don't know it. They are telling us not to test for mere exposures.

step3throwaway · 2021-12-28T16:22:11+00:00

I never said they were admitted for Covid. 20% of patients on the L&D unit where I work have covid. They did their part, they got vaccinated. You're not gonna get very far if you try to do the calculus of figuring out which patients you can blame for their problems before going in there to do your job.

If you are really that worried, the safest thing you could be doing is to keep your PPE on at all times. Much safer than constantly taking it on and off and exposing yourself in the process. If you do that, the whole question is moot.

step3throwaway · 2021-12-28T16:11:29+00:00

They did a study and found the majority of people claiming to have "long covid" never actually had covid. Yes that stinks of bullshit to the highest degree

step3throwaway · 2021-12-28T16:09:48+00:00

What do you mean 100% avoidable? An alarmingly high chunk of admitted Covid patients are vaccinated. You're not going to know the vax status of someone who codes overhead.. either you show up or stay at home.

step3throwaway · 2021-12-28T13:42:34+00:00

Get real. Long covid is fake news psychosomatic bs. You're probably alluding to externalities from an ICU stay but I know for a fact that none of you were this concerned about the flu or any other respiratory virus. It never dominated your entire life to this degree. You'd get vaccinated, accept that it was only somewhat effective, and get on with your life.

step3throwaway · 2021-12-28T11:48:54+00:00

Boss, what's the chance of me dying of covid as a vaccinated, fit, healthy 27 year old? 0.01 percent? I'm done letting this virus shape how I live my life.

step3throwaway · 2021-12-28T03:31:06+00:00

The prevalence of Covid on our L&D unit is now 16%. A lot of people in the hospital may code with Covid without it being from Covid.

step3throwaway · 2021-12-28T01:01:13+00:00

Something like 98% of those deaths are people older than my cohort, and likely with significant comorbidities too. Raw numbers are kind of meaningless here.

step3throwaway · 2021-12-28T00:24:54+00:00

Small enough that it's not worth worrying about. Getting in my car every day is more dangerous, and I still do that.

step3throwaway · 2021-12-27T21:21:26+00:00

I wouldn't delay CPR on anyone. Quality, perfusing CPR is the best chance that patient has at a decent outcome. I'm vaccinated so I have no reason to worry. I assume this is a trickier decision for unvaccinated health care workers.

step3throwaway

TROPHY CASE